Family Medicine Residency

Organization Type: 
Educational Institution
Program Type: 
Standing Program
Education Level: 
Graduate
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Lecture/Didactic
Self Reflection Activities
Experiential including clinical contact with patients
Program Description: 

The University of Michigan Department of Family Medicine is motivated to provide the ideal PCMH experience. The department has five clinical sites in the greater Ann Arbor area and will be adding a sixth clinical site in September, 2014.   Residents provide care at two sites - Chelsea Health Center and Ypsilanti Health Center.  These health centers offer patients both evening and weekend hours. Ypsilanti Health Center offers a modified open access schedule.  The care model includes on-site clinical pharmacists, social workers, and dieticians. Nurses are trained in case management and self-management support. Each site has a panel manager to assist in population management and patient outreach and LEAN training and techniques are utilized to address quality improvement in both processes of care as well as outcomes.  Ongoing projects include piloting of medical scribes, implementation of patient advisory councils, and incorporation of health coaches to care teams.

Incorporation of PCMH principles into the residency curriculum starts with didactic lectures in the first month of internship.  Residents are encouraged to fully utilize all members of the care team at their clinical sites.  Population management is taught in more detail in the Family Medicine Centered Experience rotation, in which residents work with their panel manager to identify, plan, and complete a formal quality improvement project for MOC-IV credit.   Medical students at the University of Michigan are required to complete a four-week rotation in Family Medicine, during which they are introduced to and demonstrate PCMH principles through didactics and direct patient care.

Evaluated: 
Yes
Program Results: 

All of the sites have been certified as Patient Centered Medical Homes (PCMH) throught the Blue Cross Blue Shield of Michigan Physician Group Incentive Program (PGIP) program since 2005.   In 2013, all five of the program clinical sites qualified for PCMH honor roll status, which is based on consistently high achievement in implementation of PCMH capabilities and on performance in quality, use, and efficiency metrics.

In 2012, the residency program received a 5 year accreditation through the ACGME Residency Review Committee.

Targeted Professions
Physicians: 
Family Medicine
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Cultural sensitivity and competence in culturally appropriate practice
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Population-based approaches to health care delivery
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Health information technology, including e-communications with patients & other providers
Interprofessionalism & interdisciplinary team collaboration
Team leadership
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Evidence-based practice
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
Accessible Care Competencies: 
Promotion of appropriate access to care (e.g., group appointments, open scheduling)
Last updated July 21, 2014

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.

 

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